MR. MARK HANSEN
NPI 1255172862
Nurse Practitioner in Kernersville, NC
About Mr. Mark Hansen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK HANSEN (NPI 1255172862) is an individual nurse practitioner in Kernersville, North Carolina, licensed in North Carolina (5023244) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Greensboro.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mark Hansen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Hansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KERNERSVILLE, NC 27284
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Hansen's NPI number?
The NPI number for Mark Hansen is 1255172862. It was assigned to this individual provider in the NPPES registry on June 6, 2024.
Where is Mark Hansen located?
Mark Hansen practices at 291 Broad St, Kernersville, NC 27284. The listed phone number is (336) 993-8181.
What is Mark Hansen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mark Hansen enrolled in Medicare?
Yes. Mark Hansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Hansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hansen reassigns Medicare benefits to Forsyth Memorial Hospital, Inc (Kernersville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Hansen accept?
Health plans from Blue Cross and Blue Shield of NC list Mark Hansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Hansen affiliated with any hospitals?
According to CMS data, Mark Hansen is affiliated with Novant Health Forsyth Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Hansen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Mark Hansen · NPI 1255172862
Nurse Practitioner physician in Kernersville, North Carolina. Individual provider, active in the CMS NPPES registry since June 6, 2024.
## Identity
- **NPI:** 1255172862 (Entity type: Individual)
- **Enumerated:** June 6, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5023244 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 291 BROAD ST, Kernersville, NC 27284-2932
- **Phone:** (336) 993-8181
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forsyth Memorial Hospital, Inc (NPI 1184131385, Kernersville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255172862) · Data from the CMS NPPES public registry.